STANFORD HEALTH CARE TRI-VALLEY: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- STANFORD HEALTH CARE TRI-VALLEY (EIN 94-1429628)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-13
- IRS object ID
- 201321339349303037
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T17:13:38-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET 9TH FLOOR | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941429628 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL COMMITTEE FOR THE LIVERMORE | BusinessNameLine1 |
| Business Name Line2 | PLEASANTON AREA | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 9253738000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1 |
| City | LIVERMORE | City |
| State | CA | State |
| ZIP Code | 94550 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENNETH A JENSEN | Name |
| Title | CFO | Title |
| Phone | 9253738000 | Phone |
| Date Signed | 2013-05-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD CROGHAN | Name |
| PTIN | P00089862 | PTIN |
| Phone | 4159561500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARCELINA FEIT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BOULEVARD | AddressLine1 |
| City | LIVERMORE | City |
| State | CA | State |
| ZIP Code | 94550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 261174726 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.VALLEYCARE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1958 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | THE HOSPITAL COMMITTEE FOR THE LIVERMORE-PLEASANTON AREAS, DBA VALLEYCARE HEALTH SYSTEM IS A CALIFORNIA NON-FOR-PROFIT CORPORATION THAT PROVIDES BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1646 | TotalNbrEmployees |
| Total Nbr Volunteers | 398 | TotalNbrVolunteers |
| Total Gross UBI | 550579 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 174701 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1486839 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 751417 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 249745011 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 250625109 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 234223 | InvestmentIncomePriorYear |
| Investment Income Current Year | 93759 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10373305 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7902628 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 261839378 | TotalRevenuePriorYear |
| Total Revenue Current Year | 259372913 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 121596721 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 127410631 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 131405612 | OtherExpensePriorYear |
| Other Expenses Current Year | 124595962 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 253002333 | TotalExpensesPriorYear |
| Total Expenses Current Year | 252006593 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8837045 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7366320 | RevenuesLessExpensesCY |
| Total Assets BOY | 234643468 | TotalAssetsBOY |
| Total Assets EOY | 238998204 | TotalAssetsEOY |
| Total Liabilities BOY | 135345786 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 135664974 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 99297682 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 103333230 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | VALLEYCARE HEALTH SYSTEM'S MISSION IS TO ASSUME THE LEADERSHIP ROLE FOR THE HEALTH OF THE TRI-VALLEY COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 187179860 | Expense |
| Revenue | 251386909 | Revenue |
| Description | OPERATION OF TWO ACUTE CARE HOSPITALS WITH A TOTAL OF 167 ACUTE, 26 SKILLED NURSING AND 14 ACUTE PSYCHIATRIC BEDS. SERVICES INCLUDE ICU/CCU, MEDICAL, SURGICAL, OBSTETRIC, NURSERY INPATIENT SERVICE, AND EMERGENCY ROOM, URGENT CARE AND OUTPATIENT SERVICES. ALSO CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY-CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ANY PROFITS MADE FROM OPERATIONS ARE INVESTED INTO NEW FACILITIES, EQUIPMENT AND SERVICES. WE ALSO SERVE THE COMMUNITY WITH OUTREACH PROGRAMS INCLUDING THE MOBILE HEALTH UNIT AND NURSES TRAINING.MEDICAL AND SURGICAL SERVICES. THE CORPORATION'S SERVICES INCLUDE ACUTE INPATIENT MEDICAL AND SURGICAL CARE, ADVANCED DIAGNOSTIC SERVICES, EMERGENCY AND URGENT CARE, CRITICAL CARE, OBSTETRICS, PEDIATRICS, SKILLED NURSING, GERIATRIC PSYCHIATRIC CARE, INPATIENT AND OUTPATIENT REHABILITATION, AND AN INTEGRATED MEDICAL FITNESS CENTER. THE PLEASANTON CAMPUS HAS BEEN DESIGNATED BY ALAMEDA COUNTY AS A CARDIAC RECEIVING CENTER. OTHER PROGRAMS OF THE CORPORATION INCLUDE ONCOLOGY SERVICES, A BARIATRICS PROGRAM, A COUMADIN CLINIC, CARDIO-VASCULAR SERVICES, A PEDIATRIC HOSPITALIST PROGRAM WITH A LOCAL TERTIARY HOSPITAL, AND AN ONCOLOGY RESEARCH PROGRAM WITH THE UNIVERSITY OF CALIFORNIA AT DAVIS.NURSE EDUCATION. THE CORPORATION OPENED THE MERTES-FEIT EDUCATION CENTER (THE "EDUCATION CENTER") ON THE LIVERMORE CAMPUS IN 2003. PARTNERING WITH THE LOCAL COMMUNITY COLLEGE SYSTEM, THE CORPORATION OPENED THE CHABOT COLLEGE NURSING PROGRAM, EXTENDED CAMPUS AT VALLEYCARE, WITH THE FIRST 10 STUDENTS ENROLLED IN SEPTEMBER 2003 AND GRADUATED IN MAY 2005. CURRENTLY, THE PROGRAM HAS 40 NURSING STUDENTS. THE NURSING PROGRAM IS INTENDED TO PROVIDE A CONTINUOUS STREAM OF REGISTERED NURSES TO MEET THE IMMEDIATE AND FUTURE STAFFING NEEDS OF THE CORPORATION. THE EDUCATION CENTER, WHICH HOUSES THE NURSING PROGRAM, ALSO HAS THE FIRST FULLY FUNCTIONAL SIMULATION LABORATORY IN THE EAST BAY AREA AND IS USED AS A TRAINING SITE FOR A NUMBER OF HEALTHCARE DISCIPLINES.COMMUNITY EDUCATION. THE VALLEYCARE MEDICAL PLAZA (THE "MEDICAL PLAZA"), LOCATED AT W. LAS POSITAS AND STONERIDGE, HOUSES THE CORPORATION'S HEALTH LIBRARY AND RYAN COMER CANCER RESOURCE CENTER, WHICH OPENED IN 1991. ITS MISSION IS TO PROVIDE ACCESS TO CURRENT, EASILY UNDERSTOOD HEALTH AND MEDICAL INFORMATION IN A RELAXED AND SUPPORTIVE ENVIRONMENT.COMMUNITY OUTREACH. IN ADDITION TO THE SERVICES PROVIDED AT THE PLEASANTON CAMPUS, THE LIVERMORE CAMPUS, AND THE MEDICAL PLAZA, THE CORPORATION PROVIDES A VARIETY OF PROGRAMS WITHIN THE COMMUNITY, INCLUDING A "MEALS ON WHEELS" PROGRAM, WHICH IS BASED AT THE LIVERMORE CAMPUS KITCHEN, FOR HOMEBOUND SENIORS. THE CORPORATION WAS FIRST AWARDED THE CONTRACT TO PROVIDE THIS PROGRAM IN 1997.ANOTHER COMMUNITY SERVICE IS THE CORPORATION'S NUTRITION PROGRAM, WHICH HAS SERVED LOCAL HEAD START CENTERS SINCE 1998. THIS PROGRAM ADDRESSES THE UNIQUE NEEDS OF CHILDREN IN THE LOCAL COMMUNITY AND SUPPORTS LOCAL AGENCIES IN ADDRESSING SOCIAL NEEDS THAT AFFECT HEALTH BY DELIVERING HOT MEALS ON SCHOOL DAYS FOR LOW-INCOME CHILDREN AT HEAD START CENTERS. IN ADDITION TO THE HEAD START MEALS, THE CORPORATION ALSO PROVIDES HOT MEALS TO CHILDREN IN THE LIVERMORE PLAY SCHOOL PER REQUESTS FROM PARENTS AND STAFF. EACH SUMMER THE CORPORATION ALSO PARTICIPATES IN A JOINT PROGRAM WITH THE LIVERMORE HOUSING AUTHORITY AND CAPE, INC. PRESCHOOLS TO PROVIDE SUMMER RECREATION AND FREE MEALS TO LOW-INCOME CHILDREN.AT THE LAS POSITAS COLLEGE STUDENT HEALTH CENTER, A CHABOT COMMUNITY COLLEGE (AT LAS POSITAS COMMUNITY COLLEGE), THE CORPORATION PROVIDES A PROGRAM THAT GIVES STUDENTS ACCESS TO PRIMARY DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS OFFERING CRITICAL ACCESS TO INFORMATION TO HELP STUDENTS IMPROVE AND MAINTAIN THEIR HEALTH. THE CORPORATION'S PUBLIC HEALTH NURSE WORKS CLOSELY WITH THE COMMUNITY ON A VARIETY OF PROJECTS INCLUDING THE BAY AREA REGIONAL IMMUNIZATION REGISTRY, SENIOR INJURY PREVENTION, PASTORAL CARE, AND THE PROCUREMENT OF A MOBILE MEDICAL VAN TO BRING MEDICAL SERVICES AND CONTINUITY OF CARE TO THE REGION'S UNDERSERVED POPULATION, INCLUDING CHILDREN AND SENIORS. THE CORPORATION ALSO FINANCIALLY SUPPORTS TWO NURSES IN THE PLEASANTON UNIFIED SCHOOL DISTRICT. | Description |
| Total Program Service Expense | 187179860 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 188 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1646 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NICOLE PEDIGO | NamePerson |
| Telephone Number | 9253738006 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E STANLEY BLVD | AddressLine1 |
| City | LIVERMORE | City |
| State | CA | State |
| ZIP Code | 94550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DEBORAH MCKEEHAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 18697 | |||
| MARTY INDERBITZEN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 18697 | |||
| RALPH CAMACHO MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 13417 | |||
| VALERIE CHIRURGI MD | ||||||||
| EX OFFICO BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| BARBARA MERTES | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 7664 | |||
| DAVID MERTES | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 7664 | |||
| JOHN LOUIE MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JOHN SENSIBA | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 18697 | |||
| MARCELINA FEIT | ||||||||
| PRESIDENT/CEO | 36.10 | X | 905148 | 0 | 36976 | X | ||
| JANET CRISTIANO | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JOHN NUNES MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| TOM VARGAS | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 10524 | |||
| TIM WEAVER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 13417 | |||
| ALCINA WEGRZYNOWSKI | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| KENNETH JENSEN | ||||||||
| CFO/VP | 36.10 | 1047047 | 0 | 21903 | X | |||
| CYNTHIA NOONAN | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | 826890 | 0 | 29337 | X | |||
| LAVERN BROWN | ||||||||
| VP GENERAL SVCS & HR | 39.80 | 1044345 | 0 | 27717 | X | |||
| JESSICA JORDAN | ||||||||
| VP PATIENT CARE | 40.00 | 294700 | 0 | 10509 | X | |||
| CLAIRE SHOEN | ||||||||
| SENIOR VP | 30.00 | 317566 | 0 | 7536 | X | |||
| DOREEN MAPLES | ||||||||
| VP/CORPORATE COMPLIANCE RISK MNGMT | 40.00 | 199612 | 0 | 14784 | X | |||
| SONJA MCLENDON | ||||||||
| VP OF ANCILLARY/OUTPATIENT | 40.00 | 252923 | 0 | 19261 | X | |||
| KENNETH BARTLETT | ||||||||
| MULTI-MODALITY TECH | 40.00 | 209223 | 0 | 3403 | X | |||
| PAUL MUSER | ||||||||
| LEAD MULTI-MODALITY TECH | 40.00 | 233104 | 0 | 19609 | X | |||
| ROBIN AMERSON | ||||||||
| REGISTERED NURSE | 40.00 | 222991 | 0 | 9110 | X | |||
| KIUN FORSCHEN | ||||||||
| REGISTERED NURSE | 40.00 | 211414 | 0 | 17919 | X | |||
| JOY CHAU | ||||||||
| REGISTERED NURSE | 40.00 | 215998 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5980961 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 326841 | TotalOtherCompensation |
| Number Individuals GT100 K | 381 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SIEMENS MEDICAL SOLUTIONS | |||||
| DEPT LA 21536 | PASADENA | CA | 911851536 | IT SERVICES | 7300509 |
| MEDICAL ANESTHESIA CONSULTANTS | |||||
| PO BOX 512107 | LOS ANGELES | CA | 900510107 | PROFESSIONAL MEDICAL SERVICES | 974445 |
| ARUP INC | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84108 | LABORATORY SERVICES | 859945 |
| CALIFORNIA SERVICE BUREAU | |||||
| 3050 FITE CIRCLE SUITE 107 | SACRAMENTO | CA | 95827 | PROFESSIONAL A/R SERVICES | 806935 |
| REGENTS OF UCSF | |||||
| 505 PARNASSUS AVE BOX 0110 | SAN FRANCISCO | CA | 94131 | PROFESSIONAL MEDICAL SERVICES | 728444 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 49 | NumberOfContractorsGT100K |
| Related Organizations | 579907 | RelatedOrganizations |
| All Other Contributions | 171510 | AllOtherContributions |
| Total Contributions | 751417 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| ANCILLARY PTNT SRVCS | 621990 | 461452490 | 461452490 | |
| OUTPATIENT SRVCS | 621990 | 401166736 | 401166736 | |
| INPATIENT SRVCS | 621990 | 219873210 | 219873210 | |
| LAB SERVICES | 621500 | 550579 | 550579 | |
| CONTRACTUAL ALLOWANCE | 621990 | -832417906 | -832417906 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 250625109 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 92753 | TotalRevenueColumn |
| Exclusion | $92,753 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2061035 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1801813 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 259222 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 259222 | TotalRevenueColumn |
| Exclusion | $259,222 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1006 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1006 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1006 | TotalRevenueColumn |
| Exclusion | $1,006 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| MONTHLY DUES-LIFESTYLE | 624310 | 4028959 | $4,028,959 | |
| OTHER REVENUES | 900099 | 3423147 | $2,110,768 | 1312379 |
| K-1 INCOME | 900099 | 191300 | $191,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7643406 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 259372913 | TotalRevenueColumn |
| Related Or Exempt Function Income | 251386909 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 550579 | UnrelatedBusinessRevenue |
| Exclusion | $6,684,008 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3542980 | Total |
| Management And General | 3542980 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100959089 | Total |
| Program Services | 73773043 | ProgramServices |
| Management And General | 27186046 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3060593 | Total |
| Program Services | 2238909 | ProgramServices |
| Management And General | 821684 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12680922 | Total |
| Program Services | 9200745 | ProgramServices |
| Management And General | 3480177 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7167047 | Total |
| Program Services | 5162825 | ProgramServices |
| Management And General | 2004222 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 657652 | Total |
| Management And General | 657652 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140237 | Total |
| Management And General | 140237 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19968846 | Total |
| Program Services | 10798736 | ProgramServices |
| Management And General | 9170110 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45724749 | Total |
| Program Services | 38584232 | ProgramServices |
| Management And General | 7140517 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8102877 | Total |
| Program Services | 5813004 | ProgramServices |
| Management And General | 2289873 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9294575 | Total |
| Program Services | 7679762 | ProgramServices |
| Management And General | 1614813 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 405355 | Total |
| Program Services | 16465 | ProgramServices |
| Management And General | 388890 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116401 | Total |
| Program Services | 17633 | ProgramServices |
| Management And General | 98768 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5445881 | Total |
| Program Services | 4099612 | ProgramServices |
| Management And General | 1346269 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7755051 | Total |
| Program Services | 6010516 | ProgramServices |
| Management And General | 1744535 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1252910 | Total |
| Program Services | 1007467 | ProgramServices |
| Management And General | 245443 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BAD DEBTS | Description |
| Total | 22709354 | Total |
| Program Services | 22709354 | ProgramServices |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3022074 | Total |
| Program Services | 67557 | ProgramServices |
| Management And General | 2954517 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252006593 | Total |
| Program Services | 187179860 | ProgramServices |
| Management And General | 64826733 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9049315 | BOY |
| EOY | 5705379 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25370092 | BOY |
| EOY | 22904022 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40603402 | BOY |
| EOY | 44044870 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 622400 | BOY |
| EOY | 622400 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4535355 | BOY |
| EOY | 4529729 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4682053 | BOY |
| EOY | 1316859 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 215112084 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 116685015 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100041662 | BOY |
| EOY | 98427069 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16011536 | BOY |
| EOY | 15792723 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33727653 | BOY |
| EOY | 45655153 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234643468 | BOY |
| EOY | 238998204 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30648827 | BOY |
| EOY | 31718420 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3897311 | BOY |
| EOY | 1200571 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86093501 | BOY |
| EOY | 83337081 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8689692 | BOY |
| EOY | 8788965 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6016455 | BOY |
| EOY | 10619937 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135345786 | BOY |
| EOY | 135664974 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99263910 | BOY |
| EOY | 103127947 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33772 | BOY |
| EOY | 205283 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99297682 | BOY |
| EOY | 103333230 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234643468 | BOY |
| EOY | 238998204 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 7366320 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3330772 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $19,275 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 19275 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE ORGANIZATION PAYS DUES TO CHA/HCNCC AND AHA. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING PURPOSES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1779852 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 11157847 | OtherCostOrOtherBasis |
| Book Value | 12937699 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 114437209 | OtherCostOrOtherBasis |
| Depreciation | 58125740 | Depreciation |
| Book Value | 56311469 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12341603 | OtherCostOrOtherBasis |
| Depreciation | 7329387 | Depreciation |
| Book Value | 5012216 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55898870 | OtherCostOrOtherBasis |
| Depreciation | 43798303 | Depreciation |
| Book Value | 12100567 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19496703 | OtherCostOrOtherBasis |
| Depreciation | 7431585 | Depreciation |
| Book Value | 12065118 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 98427069 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ASSETS LIMITED AS TO USE | Description |
| Book Value | 15792723 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 15792723 | TotalOfBookValueSecurities |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED FINANCING COSTS | 1523952 |
| DEPOSITS | 1190443 |
| NON PATIENT RECEIVABLES | 262271 |
| EQUITY INVESTMENT (PPA-II) | 1263803 |
| THIRD PARTY PAYOR RECEIVABLE | 1806108 |
| INTERCOMPANY RECEIVABLE | 39608576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 45655153 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MINIMUM PENSION LIABILITY | $6,326,000 |
| LIABILITY FOR SELF INSURANCE RESERVES | $1,377,477 |
| BOND INTEREST PAYABLE | $2,064,952 |
| REFUNDABLE DEPOSITS | $19,918 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $831,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10619937 | TotalOfAmounts |
| Total Revenue | 259372913 | TotalRevenue |
| Total Expenses | 252006593 | TotalExpenses |
| Excess Or Deficit For Year | 7366320 | ExcessOrDeficitForYear |
| Prior Period Adjustments | -3326679 | PriorPeriodAdjustments |
| Other | -$4,093 | OtherAmount |
| Total Adjustments | -3330772 | TotalAdjustments |
| Excess Or Deficit Per FS | 4035548 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 260500000 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1801813 | OtherRevenues |
| Revenue Not Rptd F990 | 1801813 | RevenueNotRptdF990 |
| Revenue Subtotal | 258698187 | RevenueSubtotal |
| Other Revenues Not Included | 674726 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 674726 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 259372913 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 253808000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1802413 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1802413 | ExpensesNotRptdF990 |
| Expenses Subtotal | 252005587 | ExpensesSubtotal |
| Other Expenses Not Included | 1006 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1006 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 252006593 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | BOOK-TAX DIFFERENCE ON PPA II INCOME -4,857. AUDITED FINANCIAL STATEMENT ROUNDING 764. TOTAL TO SCHEDULE D, PART XI, LINE 8: -4,093. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RECLASSIFICATION OF RENTAL EXPENSES TO REVENUE SECTION 1,801,813. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BOOK-TAX DIFFERENCE ON PPA II INCOME 4,857. RECLASSIFICATION OF CONTRIBUTIONS FROM OTHER CHANGES IN FUND BALANCE 668,538. RECLASSIFICATION OF GAIN ON SALE OF FIXED ASSETS FROM EXPENSE SECTION 1,006. AUDITED FINANCIAL STATEMENT ROUNDING 325. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RECLASSIFICATION OF RENTAL EXPENSES TO REVENUE SECTION 1,801,813. AUDITED FINANCIAL STATEMENT ROUNDING 600. |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | RECLASSIFICATION OF GAIN ON SALE OF FIXED ASSETS TO REVENUES SECTION 1,006. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 950 | PersonsServed |
| Total Community Benefit Expense | 3178639 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1850761 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1327878 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10110169 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8365232 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1744937 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00760 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10131788 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4644305 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5487483 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02390 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 950 | PersonsServed |
| Total Community Benefit Expense | 23420596 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14860298 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8560298 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03730 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3643802 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1457844 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2185958 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00950 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1586030 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2094 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1583936 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00690 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5229832 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1459938 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3769894 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01640 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 950 | PersonsServed |
| Total Community Benefit Expense | 28650428 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16320236 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12330192 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05370 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,775,930 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 51307075 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 71956560 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20649485 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | OtherOther | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|
| VALLEY MEMORIAL HOSPITAL | ||||||||
| 1 | 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | X | LIFESTYLE RX MEDICAL FITNESS FACILITY | ||
| VALLEYCARE MEDICAL CENTER | ||||||||
| 2 | 5555 W LAS POSITAS BLVD | PLEASANTON | CA | 94558 | X | X | X | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Permit Report To Credit AgencyPermitReportToCreditAgency | Permit LawsuitPermitLawsuit | Collection ActivitiesCollectionActivities | Report To Credit AgencyReportToCreditAgency | LawsuitLawsuit | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VALLEYCARE MEDICAL CENTER | |||||||||||||||||||||||||||||||
| 1 | 1 | 1 | 200.000000000000 | 1 | 350.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| VALLEY MEMORIAL HOSPITAL | |||||||||||||||||||||||||||||||
| 2 | 1 | 1 | 200.000000000000 | 1 | 350.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| LIFESTYLE RX | ||||
| 1119 E STANLEY BLVD | LIVERMORE | CA | 94550 | MEDICAL FITNESS FACILITY |
| VCHS - URGENT CARE CENTER | ||||
| 1133 E STANLEY BLVD | LIVERMORE | CA | 94550 | URGENT CARE CENTER |
| VCHS - URGENT CARE CENTER | ||||
| 4000 DUBLIN BLVD STE 150 | DUBLIN | CA | 94568 | URGENT CARE CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE AMOUNTS INCLUDED IN THE TABLE AT SCHEDULE H, PART I, LINE 7. | ||
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 22709354. | ||
| PART III, LINE 4: BAD DEBT EXPENSE ON THE INCOME STATEMENT FOR FISCAL YEAR 2012 WAS $22,709,000, WHICH IS AT CHARGES. BAD DEBT IS BASED ON REMAINING ACCOUNT BALANCE AFTER ANY DISCOUNTS OR PAYMENTS HAVE BEEN APPLIED. VCHS DOES NOT RECLASSIFY ANY BAD DEBT TO CHARITY UNLESS THE PATIENT QUALIFIES UNDER THE CHARITY CARE POLICY. A COST TO CHARGE RATIO WAS USED TO DETERMINE COST. PER THE AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS OF APPROXIMATELY 23,651,000 AND $28,605,000 FOR THE YEARS ENDED JUNE 30, 2012 AND 2011, RESPECTIVELY, REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR SERVICES PROVIDED PRIMARILY TO SELF-PAY AND PRIVATE HEALTH INSURANCE PATIENTS.PATIENT ACCOUNTS RECEIVABLE CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENT AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS. VHS GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. VHS MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES. THE SIGNIFICANT CONCENTRATION OF RECEIVABLES FROM PATIENTS AND THIRD-PARTY PAYORS IS AS FOLLOWS AT JUNE 30: MEDICARE 23%, MEDI-CAL 8%, SELF PAYORS 7% AND CONTRACTED THIRD-PARTY PAYORS 62%. | ||
| PART III, LINE 8: THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL OF $20,649,485 REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT.REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE:1. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER MEANS-BASED GOVERNMENT PROGRAMS,2. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS,3. THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION ON REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUAL, AND4. THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE OR OTHER COMMUNITY BENEFIT NEEDS. | ||
| PART III, LINE 9B: THE AMOUNT DETERMINED AS CHARITY CARE ARE NOT COLLECTED AND WRITTEN OFF TO CHARITY. IF A REDUCED RATE IS GIVEN, THE AMOUNT DETERMINED AS PATIENT BALANCE IS COLLECTED ON IN THE SAME MANNER AS ALL OTHER PATIENTS. | ||
| PART V, SECTION B, LINE 19D: WE BILL FULL CHARGES, DISCOUNTS ARE GIVEN DEPENDING ON CIRCUMSTANCES | VALLEYCARE MEDICAL CENTER | |
| PART V, SECTION B, LINE 19D: WE BILL FULL CHARGES, DISCOUNTS ARE GIVEN DEPENDING ON CIRCUMSTANCES. | VALLEY MEMORIAL HOSPITAL | |
| PART V, SECTION B, LINE 21: ALL BILLS ARE AT GROSS CHARGES. | VALLEYCARE MEDICAL CENTER | |
| PART V, SECTION B, LINE 21: ALL BILLS ARE AT GROSS CHARGES. | VALLEY MEMORIAL HOSPITAL | |
| PART VI, LINE 2: VCHS IS A PARTICIPANT IN THE COMMUNITY NEEDS ASSESSMENT, PLANNING, AND EDUCATION UNIT COLLABORATIVE, WHICH COMPILES INFORMATION FOR ALL PARTICIPATING HOSPITALS TO PRODUCE A REPORT EVERY 3 YEARS FOR THE HOSPITAL COUNCIL OF NO. CALIFORNIA. THE 9/10 REPORT IDENTIFIES THE UNINSURED POPULATION, WHICH MOST ARE ELIGIBLE FOR MEDI-CAL. THE REPORT WAS STUDIED IN THE COUNTY FOR RECOMMENDATIONS REGARDING CARE AND ACCESS ISSUES. NEXT REPORT WILL BE COMPLETED BY JULY 2013. | ||
| PART VI, LINE 3: VALLEYCARE HEALTH SYSTEM WILL INTERVIEW EACH PATIENT/GUARANTOR AND DETERMINE THE CAPABILITY TO MEET HIS/HER FINANCIAL OBLICATIONS FOR MEDICAL CARE. THOSE WHO ARE UNABLE TO MEET THE FINANCIAL OBLIGATION WILL FIRST BE SCREENED FOR POSSIBLE ELIGIBILITY UNDER STATE OR FEDERAL HEALTHCARE PROGRAMS. IF THEY DO NOT MEET STATE OR FEDERAL CRITERIA FOR HEALTHCARE BENEFITS, THEY WILL BE INTERVIEWD TO DETERMINE WHETHER THEY MEET THE CRITERIA FOR FINANCIAL ASSISTANCE, AS DEFINED IN THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY. | ||
| PART VI, LINE 4: THE TRI-VALLEY REGION IS BASED AROUND THE FOUR SUBURBAN CITIES OF LIVERMORE, PLEASANTON, DUBLIN AND SAN RAMON IN THE THREE VALLEYS FROM WHICH IT TAKES ITS NAME: AMADOR VALLEY, LIVERMORE VALLEY AND SAN RAMON VALLEY. LIVERMORE, PLEASANTON AND DUBLIN ARE IN ALAMEDA COUNTY, WHILE SAN RAMON IS IN CONTRA COSTA COUNTY. VALLEYCARE'S PRIMARY SERVICE AREA IS THE TRI-VALLEY. VALLEYCARE HAS FACILITIES IN PLEASANTON, LIVERMORE, AND TRACY (A CITY WITHIN ITS SECONDARY SERVICE AREA). THE TRI-VALLEY ACCOUNTS FOR OVER 80% OF VALLEYCARE'S INPATIENT DISCHARGES. THE CURRENT POPULATION OF THE TRI-VALLEY IS ESTIMATED AT MORE THAN 268,000 PEOPLE. THE OVERALL POPULATION IS PROJECTED TO GROW AT 1.4 PERCENT PER YEAR FOR THE NEXT SEVERAL YEARS. THE LOCAL SENIOR POPULATION IS GROWING AT AN AGGRESSIVE 6.9 PERCENT PER YEAR, COMPARED TO A RATE OF TWO PERCENT PER YEAR FOR ALAMEDA AND CONTRA COSTA COUNTIES. THE TRI-VALLEY POPULATION HAS A RACIAL BLEND OF 71.8 PERCENT WHITE, 15.5 PERCENT ASIAN, AND 12.7 PERCENT "OTHER". THE HISPANIC ETHNIC BLEND IS 12.5% HISPANIC; 87.5% NON-HISPANIC | ||
| PART VI, LINE 5: THE FOLLOWING PROGRAMS AND SERVICES FURTHER THE ORGANIZATION'S EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY:PLEASANTON CAMPUS. VALLEYCARE MEDICAL CENTER, WHICH OPENED IN DECEMBER 1991, IS AN ACUTE CARE COMMUNITY HOSPITAL WITH APPROXIMATELY 114,000 SQUARE FEET OF SPACE THAT PROVIDES A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL INPATIENT AND OUTPATIENT ACUTE SERVICES, INCLUDING AN OUTPATIENT SURGICAL CENTER, A DIAGNOSTIC IMAGING CENTER INCLUDING COMPUTERIZED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING AND A WOMEN'S CENTER (MAMMOGRAPHY), CARDIAC CARE, EMERGENCY ROOM, INTENSIVE CARE, OBSTETRICS, PEDIATRICS AND OPERATING AND RECOVERY ROOMS. THE CURRENT LICENSED BED CAPACITY OF VALLEYCARE MEDICAL CENTER IS 167 ACUTE CARE BEDS (ALL OF WHICH ARE STAFFED), INCLUDING 116 MEDICAL/SURGICAL ACUTE CARE, 15 PERINATAL, 22 CRITICAL CARE, 4 PEDIATRIC, AND 10 INTENSIVE CARE NURSERY BEDS.LIVERMORE CAMPUS. VALLEY MEMORIAL HOSPITAL, ON THE LIVERMORE CAMPUS, IS AN ACUTE CARE COMMUNITY HOSPITAL WITH APPROXIMATELY 125,000 SQUARE FEET OF SPACE THAT INCLUDES 26 SKILLED NURSING, AND 14 GERIATRIC PSYCHIATRIC BEDS. ADDITIONAL SERVICES AT VALLEY MEMORIAL HOSPITAL INCLUDE URGENT CARE, LABORATORY, OCCUPATIONAL HEALTH, DIAGNOSTIC IMAGING (ULTRASOUND, MAMMOGRAPHY, BONE DENSITOMETRY) AND RADIOLOGY. THE AMBULATORY SURGERY CENTER ON THE LIVERMORE CAMPUS, OPENED IN JULY 2003, HAS FOUR OPERATING ROOMS, THREE GASTRO-INTESTINAL (GI) SUITES, AND A 21-BED-PRE-OP AND POST ANESTHESIA CARE UNIT. THE URGENT CARE UNIT ON THE LIVERMORE CAMPUS, ALSO OPENED IN JULY 2003, HAS NINE EXAMINATION ROOMS WHERE PATIENTS RECEIVE CARE FOR CONDITIONS OF AN URGENT NATURE.THE LIVERMORE CAMPUS IS ALSO THE LOCATION OF LIFESTYLE RX, AN INTEGRATED MEDICAL FITNESS CENTER OWNED AND OPERATED BY THE CORPORATION. IT IS DESIGNED TO PROMOTE COMMUNITY WELLNESS THROUGH SERVICES SUCH AS MEDICALLY BASED FITNESS, CARDIAC AND PULMONARY REHABILITATION, STRENGTH AND CARDIAC TRAINING, PHYSICAL AND SPORTS MEDICINE, AND WATER THERAPIES. LICENSED AND STAFFED BEDS THE LICENSED AND STAFFED BEDS FOR 2010 AT VALLEYCARE MEDICAL CENTER WERE 167, WHILE AT THE VALLEY MEMORIAL HOSPITAL THE NUMBER OF LICENSED BEDS IS 75, WITH STAFFED BEDS AT 40. | ||
| CA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARCELINA FEIT | |||||||||||||
| 602992 | 0 | 200000 | 0 | 102156 | 0 | 12250 | 0 | 24726 | 0 | 942124 | 0 | 0 | 0 |
| KENNETH JENSEN | |||||||||||||
| 432702 | 0 | 602863 | 0 | 11482 | 0 | 3675 | 0 | 18228 | 0 | 1068950 | 0 | 0 | 0 |
| CYNTHIA NOONAN | |||||||||||||
| 374133 | 0 | 446470 | 0 | 6287 | 0 | 12250 | 0 | 17087 | 0 | 856227 | 0 | 0 | 0 |
| LAVERN BROWN | |||||||||||||
| 296650 | 0 | 740665 | 0 | 7030 | 0 | 12250 | 0 | 15467 | 0 | 1072062 | 0 | 0 | 0 |
| JESSICA JORDAN | |||||||||||||
| 240810 | 0 | 45000 | 0 | 8890 | 0 | 9183 | 0 | 1326 | 0 | 305209 | 0 | 0 | 0 |
| CLAIRE SHOEN | |||||||||||||
| 232365 | 0 | 45000 | 0 | 40201 | 0 | 3625 | 0 | 3911 | 0 | 325102 | 0 | 0 | 0 |
| DOREEN MAPLES | |||||||||||||
| 191612 | 0 | 8000 | 0 | 0 | 0 | 3793 | 0 | 10991 | 0 | 214396 | 0 | 0 | 0 |
| SONJA MCLENDON | |||||||||||||
| 219885 | 0 | 30000 | 0 | 3038 | 0 | 3247 | 0 | 16014 | 0 | 272184 | 0 | 0 | 0 |
| KENNETH BARTLETT | |||||||||||||
| 115292 | 0 | 0 | 0 | 93931 | 0 | 3382 | 0 | 21 | 0 | 212626 | 0 | 0 | 0 |
| PAUL MUSER | |||||||||||||
| 116266 | 0 | 0 | 0 | 116838 | 0 | 3577 | 0 | 16032 | 0 | 252713 | 0 | 0 | 0 |
| ROBIN AMERSON | |||||||||||||
| 126000 | 0 | 0 | 0 | 96991 | 0 | 1878 | 0 | 7232 | 0 | 232101 | 0 | 0 | 0 |
| KIUN FORSCHEN | |||||||||||||
| 114244 | 0 | 0 | 0 | 97170 | 0 | 1887 | 0 | 16032 | 0 | 229333 | 0 | 0 | 0 |
| JOY CHAU | |||||||||||||
| 118771 | 0 | 0 | 0 | 97227 | 0 | 0 | 0 | 0 | 0 | 215998 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY | ||||||
| 352273601 | 2009-07-15 | 10500000 | BUILDING AND EQUIPMENT | 0 | 0 | 0 |
| CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||
| 680164610 | 2007-05-31 | 54310000 | REFUNDING OF PRIOR ISSUE | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|
| 10406075 | 10406075 | 2011 | 0 | 0 | 1 | 1 | ||||
| 53224097 | 1 | 1 | 1 | 1 | 5222973 | 48000349 | 1085903 | 990 |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID MERTES AND BARBARA MERTES ARE HUSBAND AND WIFE AND BOTH SERVE AS BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FINANCE DEPARTMENT REVIEWS THE FORM 990 FOR ACCURACY. PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE, A COMPLETE COPY OF THE FORM 990 IS SENT ELECTRONICALLY TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. THE CFO REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS AND INVITED QUESTIONS. ONCE THESE STEPS ARE COMPLETE, THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | VCHS USES AN RFP PROCESS FOR THESE ACTIVITIES AND DOCUMENT THE DECISION-MAKING PROCESS TO DEMONSTRATE WHY WE CHOSE A SPECIFIC CONTRACTOR, VENDOR, OR PRODUCT. THUS EVEN IF SOMEONE HAS AN INTEREST IN ONE OF THESE, WE CAN DEMONSTRATE THAT THE DECISION WAS MADE FOR REASONS SUCH AS QUALITY, COST AVAILABILITY, ETC. | |
| FORM 990, PART VI, SECTION B, LINE 15 | VCHS UTILIZES THE SERVICES OF RODEGHERO CONSULTING GROUP FOR COMPENSATION BENCHMARKING, ANALYSIS, AND REPORTING. THE BOARD OF DIRECTORS HAS A COMPENSATION SUB-COMMITTEE WHO REVIEW THE RESULTS OF THE COMPENSATION REVIEW AND IS ASSURED THAT TOTAL COMPENSATION IS CONSISTENT WITH THE MARKET. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AUDITED FINANCIAL STATEMENTS, GOVERNING/ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. | |
| 990, PART VII, SECTION A, COLUMN B | RALPH CAMACHO, M.D.'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS JANET CRISTIANO'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS MARTY INDERBITZEN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS JOHN LOUIE, M.D.'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS DEBORAH MCKEEHAN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS BARBARA MERTES' TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS DAVID MERTES' TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE CHARITABLE FOUNDATION 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS JOHN NUNES, M.D.'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS JOHN SENSIBA'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS TOM VARGAS' TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS TIM WEAVER'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE CHARITABLE FOUNDATION 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS ALCINA WEGRZYNOWSKI'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS VALARIE CHIRURGI, M.D.'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 2.00 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS MARCELINA FEIT'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 36.10 HRS VALLEYCARE CHARITABLE FOUNDATION .20 HRS VALLEYCARE MEDICAL FOUNDATION INC. 3.50 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS KENNETH JENSEN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 36.10 HRS VALLEYCARE CHARITABLE FOUNDATION .20 HRS VALLEYCARE MEDICAL FOUNDATION INC. 3.50 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS LAVERN BROWN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 39.80 HRS VALLEYCARE SENIOR HOUSING, INC. .20 HRS CLAIRE SHOEN'S TIME IS DIVIDED AS FOLLOWS: VALLEYCARE HEALTH SYSTEM 30.00 HRS VALLEYCARE MEDICAL FOUNDATION INC. 10.00 HRS | HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS |
| FORM 990, PART XI, LINE 5: | PRIOR PERIOD ADJUSTMENTS: -3,326,679. BOOK-TAX DIFFERENCE ON PPA II INCOME -4,857. AUDITED FINANCIAL STATEMENT ROUNDING 764. TOTAL TO FORM 990, PART XI, LINE 5: -3,330,772. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. | AUDIT COMMITTEE AND OVERSIGHT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| VALLEYCARE CHARITABLE FOUNDATION | ||||||||||
| 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | 942941652 | FUNDRAISING | CA | 501(C)(3) | 9 | HOSPITAL COMMITTEE FOR THE L-P AREA | 1 |
| VALLEYCARE SENIOR HOUSING | ||||||||||
| 1111 E STANLEY BLVD | LIVERMORE | CA | 94550 | 943382224 | INDEPENDENT AND ASSISTED LIVING FOR SENIORS | CA | 501(C)(3) | 11-III-FI | HOSPITAL COMMITTEE FOR THE L-P AREA | 1 |
| VALLEYCARE MEDICAL FOUNDATION INC | ||||||||||
| 5655 W LAS POSITAS BLVD 220 | PLEASANTON | CA | 94588 | 262593526 | TO SUPPORT THE MISSION OF THE VCHS | CA | 501(C)(3) | 9 | HOSPITAL COMMITTEE FOR THE L-P AREA | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| VALLEYCARE CHARITABLE FOUNDATION | ||
| C | 579907 | BOOK/ACTUAL VALUE |
| VALLEYCARE MEDICAL FOUNDATION INC | ||
| D | 11202073 | BOOK/ACTUAL VALUE |
| VALLEYCARE CHARITABLE FOUNDATION | ||
| P | 247590 | BOOK/ACTUAL VALUE |